Background: There is increasing awareness that the goal of treatment in generalized anxiety disorder (GAD) should not simply be a response, but restoration of normal function. The aim of this study was to apply a novel psychotherapeutic approach for increasing the level of remission in GAD. Methods: Twenty patients with DSM-IV GAD devoid of comorbid conditions were randomly assigned to 8 sessions of cognitive behavioral therapy (CBT) or the sequential administration of 4 sessions of CBT followed by other 4 sessions of well-being therapy (WBT). Assessment methods included the Anxiety and Depression Scales of Paykel’s Clinical Interview for Depression, Ryff’s Psychological Well-being Scales and Kellner’s Symptom Questionnaire. A one-year follow-up was undertaken. Results: Significant advantages of the CBT-WBT sequential combination over CBT only were observed with both observer and self-rated methods after treatment. Such gains were maintained at follow-up. Conclusions: These preliminary results suggest the feasibility and clinical advantages of adding WBT to the treatment of GAD. They lend support to a sequential use of treatment components for achieving a more sustained recovery.

The Subjective Happiness Scale (SHS) is one of the most commonly used measures of happiness. Many translations and validation studies have been carried out in different countries and languages. The aim of the current paper was to investigate the psychometric properties of the Italian translation of the SHS and to provide normative data. The SHS was administered with life satisfaction items, anxiety and depression scales to a community sample of 993 participants, aged 18-85 years, living in different parts of Italy. Age and gender distributions were stratified according to the population pyramid. Confirmatory Factor Analysis supported the unidimensionality of the SHS, with acceptable fit indexes (NNFI = .96; CFI = .99; RMSEA = .08; 95 % C.I. [.04-.12]). Multi-group analyses supported total invariance of the SHS measurement model for males and females, and partial invariance for younger (i.e., 18-44 years old) and older (i.e., 45-85 years old) participants. Significant correlations with satisfaction items, anxiety and depression provided evidence for concurrent validity. These findings showed that the Italian SHS translation is a reliable and valid tool, which adds to existing translations and validation studies in different countries and languages. © 2013 Springer Science+Business Media Dordrecht

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This study investigated the psychometric properties of the Humor Styles Questionnaire (HSQ) and the relation between humor and psychological well-being within the context of Italy. A total of 293 (178 females, 115 males) Italian high school and undergraduate university students – whose ages ranged from 14 to 25 years – completed the Italian versions of the HSQ and the Ryff’s Psychological Well-Being scales (RPWB). The HSQ scale reliabilities were generally acceptable, and intercorrelations among the scales were rather low; the confirmatory factor analysis supported the four-factor structure. Males reported significantly more use of Aggressive humor than did females; no differences were found between adolescents and young adults in the use of humor styles. Affiliative and Self-enhancing humor styles were positively associated with the six dimensions of the RPWB, whereas Self-defeating humor was negatively correlated with the RPWB scales. SEM analysis showed a significant and positive relationship between humor as measured by the HSQ and psychological well-being as assessed by the RPWB. Overall, the findings supported the theoretical structure and usefulness of the HSQ in an Italian context and the differential role of humor components in the various dimensions of psychological well-being.

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